| NPI | 1275080293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12080) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.011231) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-02-10 |